So both Zhang Ke and Song Qiang felt that there was something wrong with the medicine, and the patient came to make trouble.
Zhang Ke looked around, then quickly whispered to Song Qiang: "Go to Xu Yang quickly, and tell him not to come back."
"Ah?" Song Qiang was taken aback for a moment.
At this time, Li Qing and A Cheng had already entered the door.
Zhang Ke hurriedly took a step forward and said, "Hello, are you here to get the medicine? It's not good yet, and you won't be able to get it until after five o'clock."
Li Qing said, "I'm not here to get medicine, I'm looking for Dr. Xu Yang."
"It's over!" Song Qiang and Zhang Ke's hearts sank at the same time. They really came to ask for trouble. They were not confident in the medical skills of this King Siwutang.
Zhang Ke bit his lip, frowned, and quickly gestured to Song Qiang with his eyes.
Song Qiang didn't go out to look for Xu Yang, he had practiced medicine for ten years, he didn't learn much in medical skills, but he was proficient in fooling around.He cleared his throat, and began to say flickeringly: "Ms. Li, this...Chinese medicine treatment, it takes a long time to change the body."
"If you take one or two medicines, there will definitely be no effect. You will have to take at least one or two months to see a little change. As for what effect is like a drum, it's all a joke. You can't come to trouble our doctor Xu just because of this. .”
But Li Qing said very strangely: "No, the effect is quick, and I don't feel much pain anymore."
"Ah?" Song Qiang and Zhang Ke were startled at the same time.
Li Qing pointed to Ah Cheng, who was bending over while covering her stomach, and said, "This is my friend, I'll take her to see Dr. Xu."
"Are you really a repeat customer?"
Song Qiang and Zhang Ke were dumbfounded.
Chapter 12 Infertility in the Palace Cold
"Doctor Xu." Li Qing greeted Xu Yang.
Xu Yang had just gone out and bought two steamed buns next door for lunch. He hadn't eaten yet when he saw Li Qing came back. He was also taken aback: "What's the matter, what's wrong?"
Li Qing quickly shook her head: "No, no, my stomach is much better, the pain is not so bad, and the blood clots have come out."
"Oh, good." Xu Yang felt relieved.
Li Qing introduced to Xu Yang: "This is my friend A Cheng, and she also suffers from menstruation, please help her take a look."
"Okay." Xu Yang agreed, walked to his seat and sat down, then put the bun aside.
Li Qing said to Xu Yang: "Doctor Xu, why don't you have lunch first?"
Xu Yang shook his head: "It's okay, it's important to see a doctor. Come, sit down."
Ah Cheng looked at Xu Yang's appearance, he didn't look like him either.
She sat down beside Xu Yang, Xu Yang recorded the patient's information, and then saw her covering her stomach, he said to Ah Cheng: "Give me your hand."
Ah Cheng gave him his hand, Xu Yang touched the other's hand, and found that the other's hand was rather cold, now that it was summer, her limbs were still so warm.
Zhang Ke and Song Qiang were also watching curiously from the sidelines. It's not unusual for Mingxintang to return customers.
Song Qiang even wondered if this was Xu Yang's babysitter, was it real or not?He didn't even play Dou Dizhu anymore, and he wanted to see Xu Yang for treatment, which made him lose face.
Xu Yang asked again: "Press and press, will the pain decrease a little?"
Ah Cheng replied: "Yes, and it's best if I press it with warm hands, it will be much more comfortable."
Xu Yang nodded, he likes warmth and presses, and dysmenorrhea can be divided into deficiency and excess. Preferring pressure and pressing presses are mostly deficiency syndromes, and pain refusal to press is mostly syndromes of excess, but the specific deficiency and reality should be comprehensively considered through other diagnoses.
Moreover, the lower abdomen is cold and painful, and the pain will be relieved when it is warm, which is mostly cold syndrome.Deficiency and cold, is it a syndrome of deficiency and cold?
Xu Yang asked again: "How is your menstruation? Is it heavy? What about the color? Are there any blood clots? Is your period normal?"
Ah Cheng replied: "The quantity is small, the color is quite light, and there are blood clots. Usually the arrival is postponed..."
Xu Yang asked, "Is your back hurting?"
Ah Cheng said miserably: "It hurts, my waist is about to break."
Xu Yang asked some other questions, and then recorded them in the medical record, and made a face-to-face examination. He saw that the patient's complexion was pale, which should be a sign of weak qi and blood, and yang deficiency.
"Look at your tongue." Xu Yang said to Ah Cheng.
Pale tongue with little moss.Compared with the typical signs of yang deficiency, pale tongue is the most important indication for diagnosing yang deficiency. Deficiency means lack of yang, and yang deficiency means less yang energy. If yang is less, there will be cold syndrome.Therefore, yang deficiency mostly means deficiency and coldness, deficiency is replenished, and cold is warmed.
Xu Yang nodded secretly, his tongue diagnosis is still very accurate.
Song Qiang also came over to take a look, and then went back with a puzzled expression.
Chinese medicine believes that the state of a healthy person is the secret of yin and yang, the so-called secret of yin and yang, the spirit is the rule.When yin and yang are balanced, people are naturally less likely to get sick.
What is the secret of yin and yang, for example, yin is 50 points, yang is 50 points, and the balance of yin and yang is exactly 30 points.But if there is less yin, the less is deficiency, and the deficiency of yin is only [-] points.
If there is an imbalance of yin and yang in the body, there will be more yang, which will produce a series of symptoms, such as dry mouth and bitter mouth, five upset and hot, short urine and so on.
If it is deficient, it will be replenished, if there is less yin, it will be replenished, and the yin will return to fifty percent, then it will be the secret of yin and yang again.
But if the yin is normal, but the yang suddenly performs supernormally and becomes 70 points, then it is positive, and the excess is excess. To purify it, use cold and cool medicine.
Therefore, Chinese medicine must be treated based on dialectics, not symptoms.The symptoms of yin deficiency and yang excess are very similar, good guy, if you see that you are on fire, if you just take a dose of cold and cooling medicine, something will go wrong.
So the most difficult thing in Chinese medicine is dialectics.Symptoms are manifestations, and syndromes are causes.
And this kind of yin deficiency and yang deficiency cannot be detected by modern medical equipment. Now many Chinese medicine doctors ask you to do B-ultrasound, blood test, and various laboratory tests. How can this cure the disease?
It is okay for Western medicine to do this, because this is their diagnosis and treatment logic.But Chinese medicine is not. Chinese medicine pays attention to dialectical treatment. Chinese medicine is for treating syndromes, not symptoms.Correct the deviation of the body with the deviation of the medicinal properties, and when the syndrome disappears, the disease disappears.
…………
Diagnosis and treatment up to this point, it has basically been determined that it is a syndrome of deficiency and cold, and the uterus is deficient and cold.But we still can't forget the pulse diagnosis, the combination of the four diagnosis is the most important.
Xu Yang said to Ah Cheng: "Let's do another pulse diagnosis."
Li Qing asked first: "Do you want to lie down?"
Xu Yang nodded: "It's fine, if you lie down, your pulse will be clearer."
Finally, they chose to lie down for pulse diagnosis.
Xu Yang took someone to the consultation room, and Li Qing said to Xu Yang on the way: "Doctor Xu, you must help Ah Cheng, she is in severe pain, and sometimes she almost faints from the pain."
Xu Yang nodded slightly: "Okay."
"En!" Li Qing nodded heavily.
Ah Cheng was lying on his back on the examination bed, with his hands naturally spread flat on the pulse pillow, while Xu Yang sat beside him and carefully examined her pulse.
Zhang Ke and Song Qiang also came over to watch. Seeing Xu Yang doing the pulse diagnosis so meticulously, they both looked at each other in dismay.
Song Qiang touched his chin even more, and muttered to himself: "Is it fake, this is it?"
Li Qing saw that Xu Yang had three fingers on Ah Cheng's wrist, one finger at a time, one finger at a time, light at one time, heavy at another, pressing up and down...
Her eyes gradually widened, and finally she gritted her teeth angrily, and spit secretly: "Bah, scumbag!"
After a long while, Xu Yang examined the pulses of both hands for A Cheng. It was a slow and feeble pulse with some thin pulses.
In TCM dialectics, besides distinguishing between actuality and deficiency, it is also necessary to distinguish between exterior and interior. Exterior and interior can be understood literally. Exterior syndromes are mostly diseases on the body surface, while interior syndromes are mostly problems with viscera. There are different treatment options for treatment.
The late pulse is the main cold syndrome. What is a late pulse? It is said in "Mai Jing" that "breathing is three times, coming and going very late", and the pulse of one breath only beats three times.
The ancients did not have clocks and watches, so they could not tell the exact time, so they used their own breathing to judge the beating rate of the pulse. Now they can use clocks and watches. The characteristic of late pulse is that the pulse beats about 1 to 50 times per minute.
The slow pulse is very similar to the slow pulse. The difference between the two is that the slow pulse has four pulses in one breath, and the slow pulse has three pulses in one breath.Delayed pulse dominates cold, slow pulse dominates dampness, if the dialectical error is wrong, the treatment plan will be very different, so it is necessary to require the participation of the four diagnostic methods to reduce mistakes.
For example, if you come to a professional athlete, whose pulse rate is only more than 1 per minute, do you directly conclude that he has a cold syndrome?No, it must be combined with the four diagnosis.
There are also thin veins, which can control deficiency or dampness, so is it because of weak qi and blood, or is it mainly due to water dampness that traps the spleen?It still needs to be judged comprehensively.
Just now when Xu Yang was checking the pulse of Ah Cheng's branch, he found that her pulse was especially late in the foot of the left hand.
Kidney deficiency and coldness are kidney yang deficiency. Kidney yang deficiency cannot warm the spleen, and it can also cause spleen yang deficiency. Therefore, the biochemistry of qi and blood in the spleen is insufficient, and the qi and blood are weak. Therefore, the amount of menstruation is small, so her pulse condition also appears thin. features.
Of course, the menstrual water comes from the kidneys. If the kidneys are deficient, the essence will not transform the blood, and the qi and blood will decline, which will also lead to less menstrual flow.
She has severe deficiency and coldness, and lack of temper, which can easily cause cold coagulation, so there are blood clots during menstruation.Moreover, the spleen governs the blood, and a weak spleen is unable to control the blood, so the blood clots stagnate and do not disperse.
The other party's uterus is quite cold, considering that the other party is married, Xu Yang said: "Your uterus is quite cold, isn't it difficult to conceive like this?"
Ah Cheng didn't say anything.
Li Qing said in astonishment: "How do you know, Ah Cheng has been married for three years and hasn't conceived yet."
"Oh." Ah Cheng slapped Li Qing embarrassedly.
Zhang Ke and Song Qiang were even more stunned. Are they so powerful?Really, really, isn't it Tony?
Zhang Ke bit his lip and stared blankly at Xu Yang's face.
Xu Yang thought for a while and asked again: "Have you ever had a miscarriage or miscarriage before?"
Ah Cheng's face suddenly became a little unnatural.
Chapter 13 Warm Pinocytosis
Li Qing looked at Ah Cheng's expression, then changed the subject and said, "Doctor Xu, why is Gong Han not easy to get pregnant?"
Xu Yang also looked at Ah Cheng's face, and said, "You are so cold in summer, let alone in winter. In a place of perennial cold, it is difficult to grow even vegetation, let alone breed human life. "
Ah Cheng was a little surprised. She had been married for more than three years, and her mother-in-law kept urging her to have a baby, but she just couldn't get pregnant.
She and her husband also went to the hospital for an examination, and all reproductive indicators were normal, but it was difficult to conceive. She thought she was infertile.
Ah Cheng asked suspiciously: "Then...why am I so cold...my hands and feet are like ice cubes in winter."
Xu Yang explained to her: "I have just diagnosed you. You are mainly suffering from kidney yang deficiency. The kidney is the innate foundation, the root of qi and blood, the foundation of Chongren and Renmai, and the root of yin and yang in the five internal organs. Fundamental. There are Yuan Yang and Yuan Yin in the kidneys, and the kidneys of healthy people balance Yin and Yang, negative Yin and embrace Yang.”
"Kidney yin and kidney yang have the ability to nourish and warm the yin and yang of the internal organs. Kidney yin is the foundation of the human body's yin fluid, which nourishes and moisturizes the various internal organs; while kidney yang is the foundation of the human body's yang energy, which can warm the internal organs. .
"With less kidney yin, the viscera cannot be moistened with yin liquid, and there will be evidence of yin deficiency and fire excess. If the kidney yang is less, it is your situation. It can't warm the viscera, and it will cause deficiency and cold. Syndrome. So your hands and feet are cold, your lower abdomen is cold and painful, and kidney yang deficiency will also cause waist fatigue."
"Also, the kidney and the uterus are connected through the Chong, Ren, and Du channels. Your kidney is so weak and cold, like an ice cube, can the uterus connected to it be warm?"
"Besides, the kidney yang is insufficient, so it cannot warm the heart yang, which leads to the syndrome of heart and kidney yang deficiency. The five elements of the heart belong to fire, and the sun is the sun in the yang, and the sun is not warm. Moreover, the uterus is connected to the heart and the kidney below, so the upper and lower parts are not warm. , can the uterus be warmed?"
"The uterus is weak and cold, and if it is not prosperous, it will cause pain. If the uterus is not warm, it will stagnate the meridians. Can you not feel pain when the menstrual blood pours in? Moreover, you have a deficiency of spleen yang, insufficient biochemistry of qi and blood, and even more deficiency of qi and blood after menstruation, so menstruation There will also be pain in the back. The more important thing is that the palace is cold, so you will be infertile."
There is another sentence that Xu Yang didn't say. Generally speaking, normal and healthy people are not easy to have kidney yang deficiency to this extent. The kidney is the foundation of innate, either it is congenital deficiency, or it is the reason of acquired.
For women, apart from the living environment, the biggest possibility is miscarriage or miscarriage, which seriously damages the kidney qi. In addition, if it is not adjusted well in the later stage, it will cause kidney yang deficiency.
Li Qing didn't quite understand.
Both Song Qiang and Zhang Ke still have some basics, but they both feel that Xu Yang has something.Song Qiang felt very strange, why did this Siwutang king suddenly become so powerful?
Ah Cheng was stunned for a while, and then carefully asked: "Then... can it be cured?"
Xu Yang said: "The situation is not particularly serious, I will prescribe a prescription for you first, you take it for a while, and I will show you when the time comes."
Ah Cheng asked, "Then what should I eat?"
Xu Yang smiled slightly, with a more confident expression: "The seed chapter of "Fu Qingzhu's Women's Science" happens to have one party to testify."
Li Qing asked curiously: "What is it?"
Xu Yang said: "Wen cell drink."
"Wen Cell Yin?" Several people were all in a daze.
Xu Yang said loudly: "A woman's lower body is cold, it's either fire or warm, and when she's in love, there's absolutely no warm air in the yin. People think that the nature is weak, but who knows that the fetus is extremely cold! Husband is cold. In the land of ice, no vegetation grows; in the abyss of heavy yin, no fish and dragons grow. Now the fetus is cold, how can it be conceived?"
"Although a man fights bravely, his essence is very hot. It shoots directly into the womb, and the icy air is pressing against him. It is only for a while and cannot be vomited for a long time. A husband is still a human being. This woman's twins , Why is it so cold, isn't it because of the thin nature?"
"No. The twins live between the heart and the kidneys, and the upper part is connected to the heart and the lower part is tied to the kidneys. The coldness of the twins is the decline of the two fires of the heart and kidney. Therefore, to treat the twins, one must nourish the two fires of the heart and kidneys. You can do it later. Therefore... just drink it with warm cells."
Several people were stunned and stunned when they heard it, feeling a little unclear.Even Song Qiang is almost like this, his medical skills are not very good.
Zhang Ke found that Xu Yang had become different. Before, he was melancholy and cowardly, as if he wanted to lock himself in a small dark room where no one could see.
But now, besides being melancholy, he is much more confident, as if he changed overnight.
Zhang Ke's eyes shone brightly, looked at Xu Yang and muttered in a low voice: "That you... finally came back."
Xu Yang recited the soup song: "Wen's mother drink to warm the uterus and cold, and ginseng is attached to Morinda officinalis. Chinese yam, Duqin and psoraleae can cure the heart and kidney fire."
Then he explained: "In the prescription, ginseng nourishes qi; Atractylodes macrocephala invigorates the spleen and solidifies qi to benefit the waist and navel; Morinda officinalis and psoraleae warm the kidney and palace; Eucommia ulmoides, yam, gorgon, and dodder nourish the kidney and essence, and also treat waist sleepiness; aconite Cinnamon is a medicine for great heat, and it can replenish your Yuanyang Mingmen real fire."
"The essence of this prescription is to nourish the heart and kidney, warm the kidney and warm the heart. When the fire of the heart and kidney is born, the coldness of the uterus will naturally dissipate. Since the uterus is warm, it will naturally not have dysmenorrhea. And the uterus If it gets warmer, the chances of conception will increase. After taking it for a month, the uterus should be warmer. I will add or subtract a few medicines for you later, and the effect will be better."
A Cheng said blankly: "Although I don't understand it very well, I think it's very powerful."
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